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Stress dose steroids
From WikEM
Revision as of 05:08, 7 May 2017 by Rossdonaldson1 (Talk | contribs) (Created page with "{| {{table}} | align="center" style="background:#f0f0f0;"|'''Category''' | align="center" style="background:#f0f0f0;"|'''Initial''' | align="center" style="background:#f0f0f0;...")
| Category | Initial | Subsequent |
| Minor procedure or surgery under local anesthesia (eg, inguinal hernia repair) | No extra supplementation is necessary | Continue normal dosing |
| Moderate surgical stress (eg, lower extremity revascularization, total joint replacement) | 50 mg hydrocortisone IV | 25 mg of hydrocortisone every eight hours for 24 hours. Resume usual dose thereafter. |
| Major surgical stress (eg, esophagogastrectomy, total proctocolectomy, open heart surgery) | 100 mg hydrocortisone IV | 50 mg every eight hours for 24 hours. Taper dose by half per day to maintenance level. |
